Document Detail


FDG-PET/CT imaging in assessing mucin-producing non-small cell lung cancer with pathologic correlation.
MedLine Citation:
PMID:  20306161     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to describe the PET/CT findings of mucin-producing non-small cell lung cancer (NSCLC) and how those findings are associated with pathology. METHODS: A review of all patients with FDG-PET/CT identified 11 patients with histopathologically confirmed mucin-producing NSCLC; 3 mucinous bronchioloalveolar carcinoma (mBAC), 5 mixed-type adenocarcinoma with prominent mucinous BAC pattern (ADENO + mBAC), and 3 mixed-type adenocarcinoma with mucin production (ADENO + MUCIN) in our institute. RESULTS: Among 11 patients, only 2 lesions (18%) evidenced positive PET results for standardized uptake value (SUV) of 3.5 (by ROC analysis) whereas all cases were detected correctly at CT. The mean SUV was 2.0 in the 9 lesions not detected and 2.5 in all cases. The mean SUV of pure mBAC was 1.93, that of mucin-producing adenocarcinoma was 2.69 without a significant difference (p = 0.279). No significant correlations between tumor size or stage and SUV were determined. CONCLUSIONS: PET/CT for SUV is limited in the detection of mucin-producing NSCLC. Therefore, the CT component of PET/CT may allow for significantly improved sensitivity and help to reduce delayed diagnose. The SUV in mBACs were lower than the other types of mucin-producing adenocarcinoma; however, we determined no significant difference to exist between the SUVs of two groups of lung cancer.
Authors:
Sung Shine Shim; Joungho Han
Publication Detail:
Type:  Journal Article     Date:  2010-03-20
Journal Detail:
Title:  Annals of nuclear medicine     Volume:  24     ISSN:  1864-6433     ISO Abbreviation:  Ann Nucl Med     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-15     Completed Date:  2010-09-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8913398     Medline TA:  Ann Nucl Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  357-62     Citation Subset:  IM    
Affiliation:
Department of Radiology, Center for Imaging Science, Ewha Medical Center, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Mokdong Hospital, Mok 5-dong, Yangcheon-gu, Seoul, 158-710, Korea. sinisim@ewha.ac.kr
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma, Non-Small-Cell Lung / diagnosis*,  metabolism,  pathology*
Female
Fluorodeoxyglucose F18 / diagnostic use*
Humans
Image Interpretation, Computer-Assisted
Lung Neoplasms / diagnosis*,  metabolism,  pathology*
Male
Middle Aged
Mucins / metabolism*
Positron-Emission Tomography*
Retrospective Studies
Tomography, X-Ray Computed*
Chemical
Reg. No./Substance:
0/Mucins; 63503-12-8/Fluorodeoxyglucose F18

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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